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Pulse at the Cun Kou (Cun position) presenting as Xian (Wiry) and Jin (Tight) indicates Han She (Cold Hernia, a condition of pain in the lower abdomen radiating to the testicles caused by cold pathogen stagnation in the Liver meridian). A Wiry pulse indicates that Wei Qi (Defensive Qi) is not circulating; when it does not circulate, aversion to cold occurs. A Chi (Slow) and Huan (Relaxed) pulse at the Cun Kou also indicates Han She. Slow pulse indicates Cold, Relaxed pulse indicates Qi; the struggle between Cold and Qi causes pain. A Chen (Deep), Jin (Tight), and Huo Da (Hollow and Large) pulse indicates Deficiency. Hua (Slippery) pulse indicates She disease. Ji (Rapid/Tense) pulse indicates She disease. Bo (Beating/Forceful) pulse indicates She disease. By observing which location the pulse appears in, one can determine which Zang organ is diseased. Generally, the disease lies entirely in the Jue Yin Liver Meridian. Some cases arise from Shi Re (Damp-Heat) in the meridians, suppressed for a long time, combined with external Cold; the Damp-Heat is constrained and causes pain. Or, excessive labor causes Fire to arise in the sinews; drunkenness and overeating cause Fire to arise in the Stomach; sexual excess causes Fire to arise in the Kidney; extreme anger causes Fire to arise in this meridian (Liver). When Fire is severely constrained, Dampness becomes abundant, turbid Qi condenses, enters the blood vessels, flows into the Liver Meridian, and is bound by Cold, thus causing severe pain. Some cases arise from Tan Yin (Phlegm-Rheum) and food retention flowing into the Jue Yin, gathering to form nodules. Some cases arise from Phlegm-Blood stagnation in this meridian. Some cases arise from deficiency or Cold in this meridian. However, the Liver Meridian converges with the Chong, Ren, and Du meridians at the genitalia; injury by Cold causes retraction of the penis, while injury by Heat causes flaccidity and inability to retract, because the nature of Wood (Liver) is swift and urgent.

Ding Xiang Lian Shi Wan (Clove and Elaeocarpus Pill)
Chuan Gui (Szechwan Lovage Root, wine-washed) Fu Zi (Prepared Aconite Child, processed, skin and umbilical scar removed) Chuan Li Zi (Sichuan Chinaberry Fruit) Hui Xiang (Fennel Fruit) [each 1 liang, boiled in 3 sheng of wine until dry, then dried and added to the powder] Ding Xiang (Clove) Mu Xiang (Costus Root) [each 5 fen] Chan Xie (Scorpion Tail) [13 pieces] Xuan Hu (Corydalis Rhizome) [5 qian]
Grind all together into fine powder, mix with wine paste to make pills the size of wutong seeds, take 100 pills with wine.

Shen Zhu Wan (Ginseng and Atractylodes Pill) Treats Xu She (Deficient Hernia); if the pulse is Huo Da (Hollow and Large), the prognosis is fatal.
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Macrocephala Rhizome) Zhi Zi (Gardenia Fruit) Xiang Fu (Cyperus Rhizome)

Secret Formula Treats various symptoms.
Zhi Shi (Immature Bitter Orange) [for pain relief] Shan Zhi (Gardenia Fruit) Zhu Yu (Evodia Fruit) Shan Zha (Hawthorn Fruit) Ju Zi (Citrus Reticulata Peel) [above remove pits, keep peel] Tao Ren (Peach Seed) [remove stasis] Chuan Wu (Sichuan Aconite Root) [with Gardenia to seize pain] Gui Zhi (Cinnamon Twig) [for pain, optional use] Qing Pi (Green Citrus Peel) Li He (Lychee Seed) [add if dampness is heavy]

Cang Cu San (Sudden Powder) Treats Han She entering the abdomen, sudden heart and abdominal pain, strangury of Qi in the lower abdomen and bladder, abdomen cold and heavy like stone, spontaneous sweating.
Shan Zhi (Gardenia Fruit) [40 pieces, roasted half-charred] Fu Zi (Prepared Aconite Child) [1 piece, processed] Another formula uses Wu Tou (Aconite Root) instead of Fu Zi, decocted in wine, take 2 qian.

Shen Ying San (Divine Response Powder) Treats various She diseases; this formula can dissipate Qi and resolve knots.
Xuan Hu (Corydalis Rhizome) Hu Jiao (Black Pepper) If Hui Xiang (Fennel Fruit) is present, decoct in wine, take 2 qian.

Mu Dan Wan (Moutan Pill) Treats Han She, stabbing pain in the heart and abdomen, and bleeding.
Chuan Wu (Sichuan Aconite Root, processed, skin and tip removed) Mu Dan Pi (Tree Peony Bark) [each 4 qian] Tao Ren (Peach Seed, stir-fried, skin and tip removed) Gui Zhi (Cinnamon Twig) [each 5 qian] Qing Pi (Green Citrus Peel) Grind all into powder, make honey pills, take with wine.

Tao Ren Tang (Peach Kernel Decoction) Treats She disease.
Tao Ren (Peach Kernel, mashed into paste) Zhu Yu (Evodia Fruit) Gui Zhi (Cinnamon Twig) Qing Pi (Green Citrus Peel) Zhi Ke (Bitter Orange Fruit) Bing Lang (Areca Nut) Mu Xiang (Costus Root) San Leng (Burreed Rhizome) E Zhu (Curcuma Rhizome) Ji Li (Tribulus Fruit) Hai Zao (Sargassum Seaweed) Fu Ling (Poria)
Modify arbitrarily according to condition.

Key Herbs for Treating She Disease
Cang Zhu (Atractylodes Lancea Rhizome) Nan Xing (Arisaema Rhizome) Ban Xia (Pinellia Tuber) Bai Zhi (Angelica Dahurica Root) [disperses water] Chuan Xiong (Ligusticum Rhizome) Zhi Shi (Immature Bitter Orange) Shan Zha (Hawthorn Fruit)

Ying Tong Wan (Pain-Relieving Pill) Treats failure of敗积 (decayed accumulation) and evil substances to exit, forming painful She.
A Wei (Ferula Resin) [2 liang, mixed with vinegar and buckwheat flour, wrapped and roasted in fire] Bing Lang (Areca Nut) [2 large ones, hollowed out and filled with Ru Xiang (Frankincense Resin), mixed with scraped powder and buckwheat flour, wrapped and slow-roasted]
Grind into powder, add Peng Sha (Borax) 1 qian, Chi Shao Yao (Red Peony Root) 1 liang, grind together into powder, mix with flour paste to make pills the size of wutong seeds, take with salted wine.

Xiong Huang San (Realgar Powder) Treats scrotal swelling as large as a dou (measure), testicular pain.
Fan Shi (Alum) [1 liang] Xiong Huang (Realgar) [5 qian] Gan Cao (Licorice Root) [2.5 qian] Decoct for washing.

Zhang's Discussion on Seven Types of She Disease
Han She (Cold Hernia) Caused by cold, water exposure, damp living conditions, and excessive intercourse, leading to cold, hard scrotum like stone, impotence, or pain radiating to testicles; treat with warming agents.
Xiao She (Small Hernia) Caused by intercourse after drunkenness and sweating, encountering wind-cold-dampness, accumulating in scrotum causing pain like crystal, scratching yields yellow fluid, water sound upon pressing lower abdomen; treat by draining water.
Jin She (Sinew Hernia) Caused by sexual excess and evil arts, penile swelling, or ulceration with pus, or pain with tenesmus and sinew contraction, or flaccidity without retraction, or white discharge like semen, or penile pain, itching when pain is extreme; treat by descending Fire.
Xue She (Blood Hernia) Caused by blood and qi overflow during intercourse, seeping into the bladder sac, forming abscess/pus, named Bian Yong (Perineal Abscess); treat by harmonizing blood.
Qi She (Qi Hernia) Distension due to anger, dispersing when anger subsides; treat with hernia-Qi resolving methods.
Gu She (Solitary Hernia) Shape like an inverted tile, enters lower abdomen when lying down, emerges from scrotum when standing/walking; treat with agents that drain qi and flow through meridians.
Shi She (Damp Hernia) Caused by dampness, heavy as a sheng/dou measure, no itching or pain; treat with damp-draining herbs.

Three Causes, Four Types
Qi She (Qi Hernia) Due to seven emotions causing visceral qi to sink, scrotal swelling and acute pain, easy to treat.
Shui She (Water Hernia) Similar to Shi She (Damp Hernia).
Chang She (Intestine Hernia) Due to excessive sexual activity, deficiency and cold of Yuan Zang (Primordial Viscera), intestinal mesentery fails to hold, intestine drops into scrotum, moving up and down不定ly, difficult to treat.
Luan She (Testicle Hernia) Due to labor and horse riding, causing testicular swelling, or asymmetry in size, moving up and down不定ly, also difficult to treat.

Penile Priapism (due to Damp-Heat): Use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Huang Lian (Coptis Rhizome); if masses are present, add Qing Pi (Green Citrus Peel); externally, apply Si Gua Zhi (Loofah Juice) mixed with Wu Bei Zi Mo (Galla Chinensis Powder).